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NPI Code Detail

MEDICARE: MITCHELL CHIROPRACTIC

MEDICARE: MITCHELL CHIROPRACTIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1649116385
Entity Type Code : Organization
Provider Name (Legal Business Name) : MITCHELL CHIROPRACTIC
Provider Business Mailing Address
First Line : 4019 N BOLD STRIPE AVE
Second Line :
City : MERIDIAN
State : ID
Zip : 83646-4060
Country : US
Telephone Number : 209-992-9998
Fax Number :
Provider Business Practice Location Address
First Line : 3060 12TH AVE RD
Second Line :
City : NAMPA
State : ID
Zip : 83686-8400
Country : US
Telephone Number : 208-599-1448
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JARED MITCHELL
Credential : DC
Telephone Number : 209-992-9998
Provider Enumeration Date : 04/27/2026
Last Update Date : 06/21/2026

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Directions to “MITCHELL CHIROPRACTIC ” Practice Location

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